ATI LPN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
A woman is scheduled to undergo a laparoscopic procedure. Which of the following statements by the client indicates the need for further education?
Correct Answer: D
Rationale: Shoulder pain is expected after laparoscopy due to injected air and does not typically signal a complication, indicating a need for further education.
Question 2 of 5
A nurse cares for a client who is prescribed vancomycin (Vancocin) 500 mg IV every 6 hours for a methicillin-resistant Staphylococcus aureus (MRSA) infection. Which action should the nurse take?
Correct Answer: C
Rationale: Vancomycin is very irritating to veins and can cause thrombophlebitis, requiring frequent IV site assessment.
Question 3 of 5
An emergency room nurse assesses a client who was rescued from a home fire. The client suddenly develops a loud, brassy cough. Which action should the nurse take first?
Correct Answer: A
Rationale: A brassy cough indicates possible inhalation injury, requiring immediate oxygen and monitoring.
Question 4 of 5
An emergency room nurse cares for a client admitted with a 50% burn injury at 10:00 this morning. The client weighs 90 kg. Using the Parkland formula, calculate the rate at which the nurse should infuse intravenous fluid resuscitation when started at noon.
Correct Answer: B
Rationale: Using the Parkland formula (4 mL/kg/% burn), 18,000 mL is needed in 24 hours; half (9000 mL) in the first 8 hours. Starting at noon, 9000 mL over 6 hours is 1500 mL/hr.
Question 5 of 5
A teenaged male patient who wrestles in high school is examined by the nurse in the clinic. Which assessment finding would prompt the nurse to teach the patient about the importance of not sharing headgear to prevent the spread of pediculosis?
Correct Answer: B
Rationale: Pediculosis is characterized by wheal-like lesions with parasites that attach eggs to the base of the hair shaft. The other descriptions are more characteristic of other types of skin disorders.